Oral hygiene and ventilator-associated pneumonia

Current Respiratory Medicine Reviews

Volumn 6, Issue 1, 2010, Pages 65-71

  Robriquet, Laurent ^a   Fourrier, François ^a  

^a UNIV LILLE   (France)

Author keywords

Chlorhexidine; Dental plaque; Oral hygiene; Selective oropharyngeal decontamination; Ventilator associated pneumonia

Indexed keywords

CHLORHEXIDINE;

ARTIFICIAL VENTILATION; BACTERIAL COLONIZATION; HUMAN; INFECTION PREVENTION; INFECTION RISK; INTENSIVE CARE UNIT; LENGTH OF STAY; MOUTH HYGIENE; OROPHARYNX; PRIORITY JOURNAL; REVIEW; TOOTH PLAQUE; VENTILATOR ASSOCIATED PNEUMONIA;

EID: 77950448083     PISSN: 1573398X     EISSN: None     Source Type: Journal    
DOI: 10.2174/157339810790820421     Document Type: Review

References (44)

1. Kollef MH. Prevention of hospital-associated pneumonia and ventilator associated pneumonia. Crit Care Med 2004; 32: 1396-1405
2. de Smet AM, Kluytmans JA, Cooper BS, et al. Decontamination of the digestive tract and oropharynx in ICU patients. N Engl J Med 2009; 360: 20-31.
3. Berry AM, Davidson PM, Masters J, Rolls K. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. Am J Crit Care 2007; 16: 552-563
4. Laforce FM, Hopkins J, Throw R, Wang WL. Human oral defenses against Gram-negative rods. Am Rev Respir Dis 1976; 114: 929-935
5. Palmer L, Albulak K, Fields S, Filkin AM, Simon S, Smaldone GC. Oral clearance and pathogenic oropharyngeal colonization in the elderly. Am J Respir Crit Care Med 2001; 164: 464-468
6. Thomas S, Raman R, Idikula J, Brahmadathan N. Alterations in oropharyngeal flora in patients with a nasogastric tube. A cohort study. Crit Care Med 1992; 20: 1677-1680
7. Scannapieco FA, Stewart EM, Mùylotte JM. Colonization of dental plaque by respiratory pathogens in medical intensive care patients. Crit Care Med 1992; 20: 740-745
8. Fourrier F, Duvivier B, Boutigny H, Roussel-Delvallez M, Chopin C. Colonization of dental plaque: a source of nosocomial infection in intensive care unit patients. Crit Care Med 1998; 26: 301-308
9. Munro CL, Grup MJ, Elswick RK, McKinney J, Sessler CN, Hummel RS. Oral health status and development of ventilator-associated pneumonia: a descriptive study. Am J Crit Care 2006; 15: 453-460
10. Doré P, Robert R, Grollier G, et al. Incidence of anaerobes in ventilator-associated pneumonia with use of a protected specimen brush. Am J Respir Crit Care Med 1996; 153: 1292-1298
11. Whittaker CJ, Klier CM, Kolenbrander PE. Mechanisms of adhesion by oral bacteria. Annu Rev Microbiol 1996; 50: 513-552
12. Dennesen P, van der Ven A, Vlasweld M, et al. Inadequate salivary flow and poor oral mucosal status in intubated ICU patients. Crit Care Med 2003; 31: 781-786
13. Leibovitz A, Nagler R, Plotnikov G, et al. Biochemical immunological and enzymatic components of saliva in prolonged naso-gastric-fed elderly patients. Aging Clin Exp Res 2004; 16: 457-460
14. Dal Nogare AR, Toews GB, Pierce AK. Increased salivary elastase precedes Gram-negative bacillary colonization in postoperative patients. Am Rev Respir Dis 1987; 135: 671-675
15. Yigla M, Berkovich Y, Nagler RM. Oxidative stress indices in COPD-Broncho-alveolar lavage and salivary analysis. Arch Oral Biol 2007; 52: 36-43.
16. Björne H, Govoni M, Törnberg DC, Lundberg JO, Weitzberg E. Intragastric nitric oxide is abolished in intubated patients and restored by nitrite. Crit Care Med 2005; 33: 1722-1727
17. Kolenbrander PE, Palmer RJ Jr, Rickard AH, Jakubovics NS, Chalmers NI, Diaz PI. Bacterial interactions and successions during plaque development. Periodontol 2000 2006; 42: 47-79.
18. Fourrier F, Cau-Pottier E, Boutigny H, Roussel-Delvallez M, Jourdain M, Chopin C. Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients. Intensive Care Med 2000; 26: 1239-1247
19. Heo SM, Haase EM, Lesse A, Gill SR, Scannapieco FA. Genetic relationships between respiratory pathogens isolate from dental plaque and bronchoalveolar lavage fluid from patients in the intensive care unit undergoing mechanical ventilation. Clin Infect Dis 2008; 47: 1562-1570
20. Garrouste-Orgeas M, Chevret S, Arlet G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients. Am J Respir Crit Care Med 1997; 156: 1647-1655
21. Klein H, Palmer C. Studies on dental caries. A procedure for recording and statistical processing examination. J Dent Res 1940; 19: 243.
22. Silness J, Loe H. Periodontal disase in pregnancy. II Correlation between oral hygiene and periodontal conditions. Acta Odontol Scand 1964; 24: 459-474
23. Fourrier F, Dubois D, Pronnier Ph, et al. Effect of a gingival and dental plaque antiseptic decontamination on nosocomial infections acquired in the ICU. A double-blind placebo-controlled multicenter study. Crit Care Med 2005; 33: 1728-1735
24. Safdar N, Crnich CJ, Maki DG. The pathogenesis of ventilator-associated pneumonia: its relevance to developing effective strategies for prevention. Respir Care 2005; 50: 725-739
25. Rello J, Koulenti D, Blot S, et al. Oral care practices in intensive care units: a survey of 59 European ICUs. Intensive Care Med 2007; 33: 1066-1070
26. American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005; 171: 388-416.
27. Cutler CJ, Davis N. Improving oral care in patients receiving mechanical ventilation. Am J Crit Care 2005; 14: 389-394
28. Garcia R, Jendresky L, Colbert L, Bailey A, Zaman M, Majumder M. Reducing ventilator-associated pneumonia through advanced oral-dental care: A 48-month study. Am J Crit Care 2009; 18(6): 523-532
29. Hutchins K, Karras G, Erwin J, Sullivan KL. Ventilator-associated pneumonia and oral care: a successful quality improvement project. Am J Infect Control 2009; 37: 590-597
30. Mori H, Hirasawa H, Oda S, Shiga H, Matsuda K, Nakamura M. Oral care reduces incidence of ventilator-associated pneumonia in ICU populations. Intensive Care Med 2006; 32: 230-236
31. Day J, Martin MD, Chin M. Efficacy of a sonic toothbrush for plaque removal by caregivers in a special needs population. Spec Care Dentist 1998; 18: 202-206
32. Pobo A, Lisboa T, Rodriguez A, et al. A randomized trial of dental brushing for preventing ventilator-associated pneumonia. Chest 2009; 136: 433-439
33. Kollef M, Pittet D, Sanchez GM, et al. A randomized double-blind trial of iseganan in prevention of ventilator-associated pneumonia. Am J Respir Crit Care Med 2006; 173: 91-97
34. Seguin P, Tanguy M, Laviolle B, Tirel O, Malledant Y. Effect of oropharyngeal decontamination by povidone-iodine on ventilator-associated pneumonia in patients with head trauma. Crit Care Med 2006; 34: 1514-1519
35. DeRiso AJ, Ladowski JS, Dillon TA, Justice JW, Peterson AC. Chlorhexidine gluconate 0.12% oral rinse reduces the incidence of total nosocomial respiratory infection and nonprophylactic systemic antibiotic use in patients undergoing heart surgery. Chest 1996; 109: 1556-1561
36. Houston S, Hougland P, Anderson JJ, LaRocco M, Kennedy V, Gentry LO. Effectiveness of 0.12% chlorhexidine gluconate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care 2002; 11: 567-570
37. Segers P, Speekenbrink RG, Ubbink DT, van Ogtrop ML, de Mol BA. Prevention of nosocomial infection in cardiac surgery by decontamination of the nasopharynx and oropharynx with chlorhexidine gluconate: a randomized controlled trial. JAMA 2006; 296: 2460-2466
38. Koeman M, van der Ven AJ, Hak E, et al. Oral decontamination with chlorhexidine reduces the incidence of ventilator-associated pneumonia. Am J Respir Crit Care Med 2006; 173: 1348-1355
39. Tantipong H, Morkchareonpong C, Jaiyindee S, Thamlikitkul V. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2008; 29: 131-136
40. Chlebicki MP, Safdar N. Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis. Crit Care Med 2007; 35: 595-602.
41. Chan EY, Ruest A, Meade MO, Cook DJ. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis. BMJ 2007; 334: 889.
42. Panchabhai TS, Dangayach NS, Krisnan A, Kothari VM, Karnad DR. Oropharyngeal cleansing with 0.2% chlorhexidine for prevention of nosocomial pneumonia in critically ill patients: an open-label randomized trial with 0.01% potassium permanganate as control. Chest 2009; 115: 1150-1156
43. D'Amico R, Pifferi S, Leonetti C, Torri V, Tinazzi A, Liberati A. Effectiveness of antibiotic prophylaxis in critically ill adult patients: systematic review of randomised controlled trials. BMJ 1998; 316: 1275-1285
44. Nathens AB, Marshall JC. Selective decontamination of the digestive tract in surgical patients: a systematic review of the evidence. Arch Surg 1999; 134: 170-176